PERSONALIZED GENETICS LLC (NPI# 1336598325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336598325 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED GENETICS LLC |
| Other Organization Name | PERSONALIZED GENOMICS |
| Practice Address |
607 College Ave Pittsburgh PA 15232-1700 |
| Practice Telephone | 4123616160 |
| Mailing Telephone | 4123616160 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | RAVITEJ B REDDY (CEO) |
| Authorized Official Telephone | 4126564941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 39D2109711 | PA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1032451710001 | 05 |
| Other Name | Type Code |
|---|---|
| Personalized Genomics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PERSONALIZED GENETICS LLC | 607 College Ave, Pittsburgh, PA 15232-1700 |
| Street Address |
607 COLLEGE AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15232-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532530 | Filip Istvanic | Student in an Organized Health Care Education/Training Program | 5200 Centre Ave, Shea Medical Center, Pittsburgh, PA 15232 | 2020-06-10 |
| 1720601669 | Matthew Gross | Student in an Organized Health Care Education/Training Program | Shea Medical Center, 5200 Centre Ave, Pittsburgh, PA 15232 | 2020-05-27 |
| 1508488537 | Stephen Laurence Scharf | Student in an Organized Health Care Education/Training Program | 5125 Centre Avenue ( Upmc Shadyside Family Health Cente, 2nd Floor, Pittsburgh, PA 15232 | 2020-05-13 |
| 1730748484 | Adeline Jade Hernandez Yu | Student in an Organized Health Care Education/Training Program | 5125 Centre Ave., Upmc Shadyside Family Health Center, Second Floor, Pittsburgh, PA 15232 | 2019-06-06 |
| 1386200160 | Suzanne Whittemore | Student in an Organized Health Care Education/Training Program | Upmc Shadyside Family Health Centre, 5125 Centre Avenue, Pittsburgh, PA 15232 | 2019-05-16 |
| 1699330852 | Dodi Zenilman | Student in an Organized Health Care Education/Training Program | Upmc Presbyterian Shadyside (shadyside Campus) (shy), 5230 Centre Ave, Pittsburgh, PA 15232 | 2019-05-03 |
| 1619438322 | Zachary John Kosak | Student in an Organized Health Care Education/Training Program | 5125 Centre Ave, Second Floor, Pittsburgh, PA 15232 | 2019-03-26 |
| 1992269849 | Jorden Leigh Eutsey | Physician Assistant | 5150 Centre Ave Rm 460, Pittsburgh, PA 15232 | 2019-01-24 |
| 1235621178 | Samuel Bryce Sauerwein | Student in an Organized Health Care Education/Training Program | Shady Side Medical Building 5200 Centre Ave., Suite 509, Pittsburgh, PA 15232 | 2018-06-06 |
| 1316439789 | Muara Jane Heffernan | Student in an Organized Health Care Education/Training Program | Shadyside Medical Building, 5200 Centre Ave, Suite 509, Pittsburgh, PA 15232 | 2018-06-01 |
| Find all providers in zip 15232 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1477977254 | Helomics Corporation | Clinical Medical Laboratory | 91 43rd St, Lawrenceville Technology Ctr., Pittsburgh, PA 15201-3109 | 2014-02-13 |
| 1538442637 | Pinmed, Inc. | Clinical Medical Laboratory | 245 Melwood Ave, 501, Pittsburgh, PA 15213-1666 | 2011-09-25 |
| 1922289586 | Well Care Centers LLC | Clinical Medical Laboratory | 4941 Clairton Blvd, Pittsburgh, PA 15236-2101 | 2007-11-23 |
| 1740399682 | National Pathology Service Inc | Clinical Medical Laboratory | 401 Wood St, Ste 1102, Pittsburgh, PA 15222 | 2006-08-30 |
| 1851347884 | Helomics Corporation | Clinical Medical Laboratory | 2516 Jane St, Pittsburgh, PA 15203-2216 | 2006-05-25 |
| 1821060641 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 875 Greentree Road, Suite 325, Four Parkway Center, Pittsburgh, PA 15220 | 2006-02-06 |
| 1700877701 | Itxm Diagnostics Inc | Clinical Medical Laboratory | 3636 Boulevard of The Allies, Pittsburgh, PA 15213 | 2005-10-31 |
| 1871585067 | Perkinelmer Genetics, Inc. | Clinical Medical Laboratory | 250 Industry Dr Ste 400, Pittsburgh, PA 15275-1017 | 2005-08-16 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15232 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.